Provider Demographics
NPI:1013306117
Name:RCG STATE GOVERNMENT SERVICES, LLC
Entity type:Organization
Organization Name:RCG STATE GOVERNMENT SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS & FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERMAN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:804-491-9543
Mailing Address - Street 1:1905 HUGUENOT RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4312
Mailing Address - Country:US
Mailing Address - Phone:804-897-1797
Mailing Address - Fax:888-857-8088
Practice Address - Street 1:3530 POST OFFICE RD UNIT 4563
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-0923
Practice Address - Country:US
Practice Address - Phone:804-897-1797
Practice Address - Fax:888-857-8088
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RCG BEHAVIORAL HEALTH NETWORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency